CN101083977B - Taste-masking pharmaceutical compositions - Google Patents
Taste-masking pharmaceutical compositions Download PDFInfo
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- CN101083977B CN101083977B CN2005800338356A CN200580033835A CN101083977B CN 101083977 B CN101083977 B CN 101083977B CN 2005800338356 A CN2005800338356 A CN 2005800338356A CN 200580033835 A CN200580033835 A CN 200580033835A CN 101083977 B CN101083977 B CN 101083977B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7042—Compounds having saccharide radicals and heterocyclic rings
- A61K31/7048—Compounds having saccharide radicals and heterocyclic rings having oxygen as a ring hetero atom, e.g. leucoglucosan, hesperidin, erythromycin, nystatin, digitoxin or digoxin
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0087—Galenical forms not covered by A61K9/02 - A61K9/7023
- A61K9/0095—Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/5005—Wall or coating material
- A61K9/5021—Organic macromolecular compounds
- A61K9/5026—Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
Abstract
The present invention relates to a pharmaceutical composition for oral administration suitable for the preparation of a ready-to-use suspension comprising coated particles comprising an active substance having an unpleasant and/or bitter taste, such as clarithromycin, and a suspension base comprising an osmotically active substance capable of providing a high osmolality to the admixture of the suspension base with an aqueous suspending medium in the ready-to-use suspension. Said ready-to-use suspension maintains its palatability over a prolonged period of time by those defined osmotic conditions.
Description
Invention field
The present invention relates to for Orally administered pharmaceutical composition, it comprises coated granule, and described coated granule comprises the active substance that has taste beastly and/or bitterness when Orally administered.More specifically, the present invention relates to comprise the pharmaceutical composition by the coated granule of taste masking, described coated granule by taste masking comprises macrolide antibiotics, preferred clarithromycin, described pharmaceutical composition is the form of suspension, and this suspension nationality keeps its palatability by defined osmotic pressure condition in a period of time that prolongs.In addition, the invention still further relates to the method for the described compositions of preparation.
Background of invention
For example in child and gerontal patient problem usually arranged such as tablet or the Orally administered pharmaceutically active substances of capsule in the inconvenient particular patient's of solid form tool colony as described in whole the swallowing with conventional solid form.For these patients, suitable pharmaceutical dosage form can be for example solution, suspension, syrup or emulsion or solid form such as chewable tablet, effervescent tablet or soluble tablet of liquid form for example.These dosage forms can not prevent the contacting of discernable degree of active substance and taste bud usually, and this is subject matter when active substance has taste beastly and/or bitterness.In this class situation, active substance must by taste masking, so that dosage form becomes agreeable to the taste, thereby reduce the risk that the patient refuses to use medicine.
To the active substance of unusual bitterness such as Macrolide for example erythromycin or clarithromycin carry out taste masking and have very large challenge, especially when they are included in the suspension.Conventional taste masking technology usually can't make pharmaceutical composition have acceptable taste as adding sweeting agent such as sugar, artificial sweetener, fruit flavor, thickening agent and aminoacid.
Mainly be that the part active substance that is dissolved in saliva and/or the applicating liquid in this class dosage form produces taste beastly.In order to overcome this problem, usually with only make the described substance dissolves of fraction in suspension or mouthful in or even make its undissolved mode affect the dissolubility of described active substance.This usually realizes by the bitterness active substance being embedded in the special embedded material or by described medicine is carried out coating.Yet these technology have their limitation, and are usually only effective to the medicine of medium bitterness.Embedding and/or packaging technique also can adversely affect and realize the release of the desired active substance of good biological availability in digestive tract.
Have enough bioavailability in order to ensure active substance, can use coating, for example short-term delays lipid and/or the wax class coating of active substance stripping, perhaps thin polymer film of delay etc. slightly.Yet, these coatings only described suspension after its reconstruct, namely namely be applied Shi Caineng in the short time after being dispersed in the aqueous medium gratifying taste masking effect be provided.
International Application No. WO 93/12771 discloses another kind of taste masking technology, method is that the core granule of clarithromycin carries out coating to for example comprising with comprising prolamine derived from grain protein, preferred zein fraction and being preferably the polymer coating layer of plasticizer of fatty acid, and wherein said coatings is thicker.
In International Application No. WO 00/76479 A1, another kind of technology has been described, wherein the bitterness active substance is embedded in the taste masking substrate, described taste masking substrate by two kinds of enteric polymers, be that the combination of methacrylic acid copolymer and phthalate polymers forms, it is randomly by coating.
In a period of time that need to prolong with the form of reconstruct suspension, for example keep at least 1 to 2 week in the suspension of its pleasant taste, most of conventional taste masking technology can't provide gratifying taste masking effect.In this class situation, usually use the film coating with pH-dependency dissolubility.The pH value that this means suspension is adjusted to a film forming component insoluble value of film forming polymer for example that is included in the film coating under this value.Use rear pH value and change, according to used coating material, active substance will be released, in the acid soluble situation at coating, active substance will be released in the stomach, and perhaps in the situation of the soluble enteric of alkali or resistant to gastric juice coating, active substance will be released into intestinal for example in the small intestinal.
International Application No. WO 91/16043 disclose will be only under pH5 or higher pH soluble polymer coating be coated on the core granule, and in preparation, add acid compound to reduce or prevent that coating membrane from dissolving in the oral cavity.
Yet described film-coated dosage is very crucial: too firm and/or too thick film coating may delay the speed that medicine discharges with unacceptable degree for conventional quick releasing formulation in gastrointestinal tract.
Another problem be the said film coating for example polymer coating never be fully " antiseep ", this means or even have a complete film coating, a part active substance also one straight through in suspension the diffusion and from coated granule, be released, it is called as " seepage " in this article.This can cause taking in aftersensation to bitterness.
Generally speaking, the pH value of the liquid component of pharmaceutical composition such as suspension is adjusted to and will guarantees the value of the not dissolved and/or corrosion of coating.Yet if had good dissolubility by the active substance of taste masking in this pH scope, this will transfer to increase the diffusion of the active substance with taste beastly, thereby and cause in suspension and/or the seepage in mouth after Orally administered.
In addition, the routine techniques for the preparation of the agreeable to the taste liquid dosage form that comprises the medicine with taste beastly and/or bitterness may relate to costliness and complicated preparation method.
Therefore, the purpose of this invention is to provide a kind of liquid dosage form, suspension particularly, it comprises the coated granule that contains the pharmaceutically active substances with taste beastly and/or bitterness, and it is agreeable to the taste and in reconstruct, for example by keeping its palatability after adding entry reconstruct even in a period of time that prolongs.In addition, described suspension should show gratifying bioavailability, and namely Orally administered rear active substance discharges rapidly in gastrointestinal tract.
Summary of the invention
The present inventor it has surprisingly been found that by with in the reconstruct suspension, more specifically the Osmolality of the mixture of suspendible substrate and aqueous suspension medium be adjusted to be not less than every kilogram of suspension medium, for example the about 2000mosmol of every premium on currency high level and Osmolality remained on the taste that can greatly improve suspension in the prescribed limit.This can realize by add " osmotically active " as herein described material in suspendible substrate.Thus obtained high Osmolality can reduce with the seepage in the coated granule of active substance from be suspended in instant (ready-to-use) suspension after the water reconstruct for example when described suspendible substrate is mixed with the aqueous suspension medium.
Therefore, on the one hand, the invention provides the Orally administered pharmaceutical composition that is used for that is suitable for preparing the instant suspension, it comprises
A) coated granule, it comprises at least a pharmaceutically active substances with taste beastly and/or bitterness, and randomly comprises at least a excipient, and
B) suspendible substrate, it comprises at least a osmo active substance that high Osmolality can be provided for the mixture of the aqueous suspension medium in described suspendible substrate and the instant suspension, and
C) randomly, at least a pharmaceutically acceptable excipient,
Wherein said high Osmolality is not less than every kilogram of suspension medium 2000mosmol.
Preferably, coated granule is by taste masking.
Preferably, the aqueous suspension medium is water.
Preferably, the Osmolality of the mixture of suspendible substrate and aqueous suspension medium is not less than every kilogram of suspension medium, every premium on currency 2500mosmol for example.
Preferably, the Osmolality of the mixture of suspendible substrate and aqueous suspension medium is every kilogram of suspension medium, for example every premium on currency about 2500 is to about 3500mosmol.
Preferably, osmo active substance is selected from sucrose, erythritol, xylitol, Sorbitol, maltodextrin, cyclodextrin, potassium phosphate, sodium phosphate, sodium sulfate and sodium chloride and their mixture.Most preferably, " osmotically active " material is sucrose.
Preferably, described coated granule comprises the function coating, more especially semi-permeable function coating.Preferably, coating is enteric coating, i.e. the resistant to gastric juice coating.
Being included in the active substance macrolide antibiotics preferably in the coated granule, such as erythromycin and derivant, clarithromycin, azithromycin or Roxithromycin, most preferably is clarithromycin.
The present invention also provides the Orally administered pharmaceutical composition that is used for of above-mentioned instant suspension form, and it preferably is substantially devoid of acidity or alkalinity additive.
On the other hand, the invention provides the method that is used for Orally administered pharmaceutical composition that preparation is suitable for preparing the instant suspension, it may further comprise the steps:
A) will comprise at least a pharmaceutically active substances with taste beastly and/or bitterness also randomly comprises the coated granule of at least a excipient and comprises at least a sucrose that is selected from, Sorbitol, xylitol, erythritol, maltodextrin, cyclodextrin, potassium phosphate, sodium phosphate, the suspendible substrate of the osmo active substance of sodium sulfate and sodium chloride and their mixture and at least a pharmaceutically acceptable mixed with excipients randomly, acquisition is dry mixed outstanding mixture, wherein the amount of osmo active substance is enough to provide high Osmolality for the mixture of the aqueous suspension medium in described suspendible substrate and the instant suspension, and
B) the suspendible mixture that randomly step is obtained in a) is packed in the container.
On the other hand, the invention provides the method for preparing the instant suspension, it may further comprise the steps:
A) will comprise at least a pharmaceutically active substances with taste beastly and/or bitterness also randomly comprises the coated granule of at least a excipient and comprises at least a sucrose that is selected from, Sorbitol, xylitol, erythritol, maltodextrin, cyclodextrin, potassium phosphate, sodium phosphate, the suspendible substrate of the osmo active substance of sodium sulfate and sodium chloride and their mixture and at least a pharmaceutically acceptable mixed with excipients randomly, acquisition is dry mixed outstanding mixture, wherein the amount of osmo active substance is enough to provide high Osmolality for the mixture of the aqueous suspension medium in described suspendible substrate and the instant suspension, and
B) add entry in the outstanding mixture forming the instant suspension to being dry mixed of obtaining in a) of step, and
C) randomly the instant suspension is packed in the container.
Instant suspension of the present invention is agreeable to the taste at least 1 week, preferred at least 2 weeks.
In addition, pharmaceutical composition of the present invention for example the instant suspension in gastrointestinal tract, show fast under the existing environmental condition and quantitatively enough active substance discharge, this means good bioavailability.
Another advantage of pharmaceutical composition of the present invention is to have omitted acidic components, and it selects to provide much bigger degree of freedom for perfumery, can be with for example suspension of the present invention of many spice-otherwise incompatible with tart flavour-be used for because this means.
In addition, use in acid medium in the soluble film-coated situation, also to need not to suspendible substrate and/or be dry mixed to add alkalescence (being alkali) additive in the outstanding mixture in coated granule, described alkalinity additive becomes perfumery even is more difficult.
At last, suspension of the present invention can prepare by simple preparation method, thereby has avoided being used for the expensive and complicated preparation method of prior art taste masking compositions.
Brief Description Of Drawings
Fig. 1 represents to compare with the impact of independent pH value, and the high Osmolality in the instant suspension is on the impact of seepage the coated granule of clarithromycin in the instant suspension.
Fig. 2 represents to exist different osmo active substances on the impact of clarithromycin seepage in the suspension.
Detailed Description Of The Invention
" suspension " used herein mean-except as otherwise noted-be used for Orally administered liquid preparation, its comprise coating for example by the granule of taste masking, described granule comprises at least a pharmaceutically active substances and at least a pharmaceutically acceptable excipient, and this suspension be by be used for Orally administered front will for example dry powder form as herein described be dry mixed that outstanding mixture dissolves or aqueous vehicles that suspendible is referred to herein as " suspension medium " prepares.Preferably, suspension medium is water.
Term used herein " suspendible substrate " is interpreted as meaning to comprise at least a osmo active substance for example and randomly comprises the dry component mixture of at least a pharmaceutically acceptable excipient, and itself can mix to form " being dry mixed outstanding mixture " with the coated granule by taste masking that for example comprises the active component with taste beastly and/or bitterness.Described " being dry mixed outstanding mixture " can be dissolved or is suspended in the suspension medium subsequently.Term used herein " suspension medium " means to be added into to be dry mixed and hangs the medium that can be applied to subsequently patient's instant suspension in the mixture with acquisition.Preferably, suspension medium is aqueous, most preferably water.It is the synonym of " instant " suspension that term used herein " reconstruct suspension " is interpreted as.
Term used herein " function coating " and " function film coating " be understood to include solvable under the defined pH value, namely have a soluble coating in the environment of the neutral or alkaline pH value of acidity.This class function coating comprises enteric coating or resistant to gastric juice coating, and can have the taste masking characteristic.Described function coating can be semi-permeable, and wherein term used herein " semi-permeable " is interpreted as meaning differential permeability, namely allows some molecule through diffusing through coating.
Term used herein " granule " refers to the free-pouring material of any shape larger than powder, such as crystal, globule (smooth, circular or spherical granule), piller, spheroid and particulate.
Term used herein " by taste masking " refers to processed so that it is agreeable to the taste and/or basically not in mouth but for example discharge any material that comprises the pharmaceutically active substances with taste beastly or granule or the combination of oral medication of pharmaceutically active substances in stomach or intestinal.
" taste beastly and/or bitterness " used herein means most of human patients and described pharmaceutical composition or the active substance that wherein comprises are judged as have beastly and/or bitter and/or very bitter taste after absorption.
The coated granule that comprises in the suspension of the present invention can be prepared according to known method, for example the granulation technique by routine or extrude and roll-in technology application examples such as high shear mixer, paddle mixer (compulsory mixer) Diosna Collet Gral type paddle mixer, roll squeezer (rollercompactor) Alexander Hutt forming roll press or extruding machine Werner﹠amp for example for example for example; Pfleiderer or Theyson type extruding machine are prepared, and can carry out coating subsequently.Perhaps, can by use known embedding techniques obtain such as roll-in or melt extrusion as described in granule.
Described granule comprises at least a pharmaceutically active substances with taste beastly and/or bitterness.Described active substance comprises but is in no way limited to antibiotic such as Macrolide, such as erythromycin, clarithromycin, Roxithromycin or azithromycin, fluoroquinolones such as ciprofloxacin and norfloxacin, cephalosporins such as cefuroxime, ceftriaxone or tetracycline antibiotics such as chloromycetin or chlorpromazine or other antibacterial such as penicillin or ampicillin, analgesic, antihistaminic, decongestant drug, anti-inflammatory agent, hypnotic, tranquilizer, tranquilizer, vitamin, enzyme, supplementary, hormone etc., comprise its pharmaceutically useful salt and ester.With very bitter taste those are specially adapted to the present invention such as macrolide antibiotics, especially erythromycin and clarithromycin.Therefore, preferably one of macrolide antibiotics such as erythromycin or derivatives thereof of described active substance.Most preferably, active substance is clarithromycin.
Described granule also randomly comprises at least a pharmaceutically acceptable excipient.Term used herein " excipient " refers to make up to prepare with active component any material of regular dosage form, comprises for example wetting agent, diluent, binding agent, lubricant, disintegrating agent, coloring agent, correctives and sweeting agent and other material known in the art.
The example of wetting agent has for example polyoxyethylene polyoxypropylene block polymer, such as poloxamer (Poloxamer).
Be used for the binding agent that is fit to of preparation of the present invention including, but not limited to paragutta such as hydroxypropyl emthylcellulose, polyvinylpyrrolidone (polyvidone), carboxymethyl cellulose, ethyl cellulose and methylcellulose, starch, pregelatinized Starch, gelatin, sugar (for example molasses) and natural gum (for example arabic gum, sodium alginate, panwar gum).Preferably, use polyvidone (especially Povidone USP) as binding agent.
The mentioned granule of this paper can be coated with coating, preferred function coating, for example soluble function film coating in acid neutral or alkaline pH value environment.Preferably, described coating for example film coating will begin dissolving under about pH value more than 4.5, and for example described coating is enteric or resistant to gastric juice coating.
Perhaps, for example film coating is can right and wrong pH dependent for described coating.
Can carry out coating on the granule by with conventional method the coating mixture being coated in, for example described coating mixture is sprayed on the granule.Coating-and optional drying-preferably in fluidized-bed coating machine, for example Glatt Wurster or Huttlin Coater type fluidized-bed coating machine, finish.
The coating mixture can comprise dissolving, disperses or be suspended in the coating component in water or the organic solvent, and randomly comprises at least a excipient.Preferably, the coating component is the component that forms function film, preferably be selected from the component of the formation enteric thin film of the group that comprises following material: phthalic acid ester, such as cellulose phthalate, the for example cellulose phthalate of chemical modification such as hydroxypropylmethyl cellulose phthalate, CAP or hydroxypropyl methylcellulose acetate succinate, or poly-(methyl) acrylate, for example methacrylate polymers or copolymer are such as the R by German Darmstadt
Hm GmbH﹠amp; What Co KG produced and sold can be with trade mark Eudragit
Commercially available those.The example of this class methacrylic acid copolymer is described with " Methacrylic Acid Copolymer, Type A " in USP/NF, as can be with trade mark Eudragit
L30 D55 (was also referred to as Eudragit in the past
L 30 D) commercially available, it is that the ratio of methacrylic acid and ethyl acrylate is 1: 1 copolymer.
The function film coating can be soluble under acid ph value, namely can be included in soluble film forming component under the acid ph value, and for example acrylic polymer is as can be with trade mark Eudragit
E and Eudragit
Those that EPO is commercially available.
Randomly, the coating mixture can also comprise at least a excipient, for example plasticizer, for example triethyl citrate.
In a specific embodiment of the present invention, coated granule prepares in accordance with the following methods:
Spraying cohesion (spray agglomeration) preparation granule by clarithromycin and poloxamer, for example according to Encyclopedia of Pharmaceutical Technology, the 7th volume, JamesSwarbrick, James C.Boylan edits, 1993, the 136-140 pages or leaves are in the lower described method preparation of chapters and sections " FluidizedBed Granulators ".The mean particle size that is used for coating can be 200 to 400 μ m, 250 to 350 μ m for example, and 280 to 320 μ m for example, for example 290 to 310 μ m for example can be about 300 μ m.Perhaps, the mean particle size for coating can for being no more than about 500 μ m, for example can be 200 to 500 μ m.Can according to conventional method, for example in fluidized system by aqueous dispersion coating coating.
Described in a kind of typical coated granule compositions such as the following table 1:
Table 1
| Composition | Amount, the g of unit |
| Clarithromycin | 0.260 |
| Poloxamer | 0.096 |
| Eudragit L30D55 | 0.212 |
| Triethyl citrate | 0.032 |
Among the preparation of described granule and its purposes embodiment hereinafter for the preparation of suspension of the present invention description is arranged.
Used coated granule can comprise the active substance of pharmacy effective dose in the compositions of the present invention, and wherein said pharmacy effective dose will depend on used active substance.Term used herein " pharmacy is effective " is understood to include the dosage of the described active substance of the pharmacotoxicological effect that hope is provided.
Preferably, described coated granule with respect to coated granule about 5% to about 60%w/w, according to appointment 10% to about 50%w/w, for example about 15% to about 45%w/w, 20% to about 40%w/w amount comprises Macrolide according to appointment, clarithromycin most preferably.
Suspension of the present invention can be prepared as follows: with coated granule with comprise the suspendible substrate of at least a osmo active substance and at least a pharmaceutically acceptable mixed with excipients randomly, the formation dry mixture namely is dry mixed outstanding mixture.
Term used herein " osmo active substance " is interpreted as meaning in solution, for example dissociates to form the material of osmotically active particle when for example mixing with water with the aqueous suspension medium.The used osmo active substance of the present invention is pharmaceutically useful.
Preferably, described osmo active substance be characterised in that can reduce the active substance molecule from the diffusion of coated granule, have that high-dissolvability for example has high-dissolvability water and be physiology, pharmacology and oral acceptable.
Preferably, described osmo active substance can comprise carbohydrate, for example polysaccharide, for example maltodextrin perhaps for example encircles polysaccharide, and for example cyclodextrin is such as for example gamma-cyclodextrin, oligosaccharide, disaccharide, for example sucrose, monosaccharide, for example fructose or glucose, chemical compound such as the tetritol relevant with carbohydrate, for example erythritol, pentabasis alcohol, for example xylitol, or hexahydroxylic alcohols, for example Sorbitol, or inorganic salt such as potassium phosphate, sodium phosphate, sodium sulfate or sodium chloride, or their mixture.Most preferably, osmo active substance is sucrose.
Preferably, described osmo active substance with about 6% to 100%w/w, for example 20% to 90%w/w, for example 40% to 80%w/w with respect to suspension medium, for example 50% to 60%w/w amount exists.Preferably, described osmo active substance is with respect to suspension medium about 85% to about 95%w/w, most preferably from about the amount of 89%w/w exists.
Preferably, described osmo active substance can with respect to be dry mixed outstanding mixture about 3% to about 90%, for example about 15% to about 80%, according to appointment 20% to about 70%, for example about 30% to about 60%, 40% to about 50%w/w amount exists according to appointment.More preferably, in the situation of carbohydrate, osmo active substance exists with about amount of 70% to about 80%w/w, and in the situation of inorganic salt, osmo active substance exists with about 3% to about 30% amount.
Randomly, suspendible substrate and/or be dry mixed outstanding mixture and can also comprise at least a pharmaceutically useful excipient, as
-sugar, for example the sugar of chemical modification for example comprises fructose, glucose, sugar alcohol,
-sweeting agent, for example nutritive sweetener and artificial sweetener, for example saccharin sodium comprises aspartame,
-flow improver additive (flow promoter) for example comprises silicon dioxide, and colloidal silica for example is such as aerosils
,
-thickening agent, for example guar gum, xanthan gum, methylcellulose;
-binding agent, for example polyvinylpyrrolidone, cellulose
-correctives, such as organic acid, for example citric acid, NaCl, natural and artificial perfume
-antiseptic, such as potassium sorbate, sodium benzoate,
-dyestuff (coloring agent) is such as TiO
2, and
-filler, surfactant, buffer substance or other pharmaceutically acceptable excipient.
Then can be randomly be dry mixed outstanding mixture for example the outstanding mixture that is dry mixed of powder type be packed in bottle or the container.
Can will be dry mixed outstanding mixture suspendible or be dissolved in the suspension medium.Preferably, suspension medium is aqueous, most preferably is water.Can be randomly with the reconstruct suspension of gained, be that the instant suspension is packed into container for example in the bottle.
Mix the active substance in the coated granule that exists in the instant suspension amount can for respect to instant suspension about 1% to about 20%w/w, for example about 2% to about 15%w/w, 3% to about 10%w/w according to appointment, for example about 4% to about 8%w/w.
The instant suspension, more especially suspendible substrate and aqueous suspension medium for example show the high Osmolality that is not less than every kilogram of suspension medium, the about 2000mosmol of preferred every premium on currency with the mixture of water.
" high Osmolality " used herein is interpreted as meaning every kilogram of suspension medium, the above Osmolality of every premium on currency 2000mosmol for example.
Preferably, the Osmolality of the mixture of described suspendible substrate and aqueous suspension medium be not less than every kilogram of suspension medium, for example every premium on currency 2200mosmol, for example about 2300mosmol above, for example more than about 2400mosmol.Most preferably, Osmolality be every kilogram of suspension medium, for example more than every premium on currency 2500mosmol.
Preferably, the Osmolality of the mixture of described suspendible substrate and aqueous suspension medium be every kilogram of suspension medium, for example every premium on currency about 2000 to about 4000mosmol, according to appointment 2200 to about 3800mosmol, more preferably from about 2500 to about 3500mosmol.
Perhaps, Osmolality can be up to every kilogram of suspension medium 4500mosmol or larger.
Term used herein " Osmolality " is interpreted as meaning osmo active substance, be the osmotically active particle of solute, for example its molecule or ion in solution, i.e. concentration in the liquid phase of instant suspension, described liquid phase mainly by mixed, namely dissolve or the suspendible substrate that is dispersed in the suspension medium as herein described forms.Osmolality generally is expressed as the molal quantity of the described solute of every kilogram of solvent medium (for example in situation of the present invention, being every kilogram of suspension medium, preferred every premium on currency).One Unit Weight Morie osmolarity is 1osmol, and being illustrated in dissociates in the solution forms the amount of substance of 1 mole of osmotically active particle.Can measure Osmolality according to known method, as according to Physikalische Chemie, the people such as Martin, editor H.Stricker, Wissenschaftliche Verlagsgesellschaft, those methods that the method described in 1987 uses vapor pressure osmometer, freezing point reduction permeability manometer or colloid osmometer to carry out.Also can come the calculated weight Morie osmolarity according to following numerical procedure:
Osmolality [mosmol]=be dissolved in the grams of the material in the 1000g solvent medium divided by the molecular weight of described material, then the population that the material that the merchant of gained at first be multiply by dissolving dissociates and produces multiply by 1000.
In the present invention, the material of dissolving mean with suspendible substrate and suspension medium for example water mixes all substances of dissolving in the liquid phase of afterwards acquisition, namely comprise osmo active substance defined herein, and randomly comprise the material of other dissolving, for example derived from the material of the dissolving of excipient as herein described.
Preferably, pharmaceutical composition of the present invention is for the preparation of the outstanding form of mixtures of being dry mixed of aqueous suspension or dispersion or instant suspension form.Yet, think within the scope of the present invention, be dry mixed outstanding mixture and also can be used for preparing other dosage form, such as masticatory, soluble tablet or effervescent tablet etc., or the single dose sachet.
Instant suspension of the present invention is agreeable to the taste, and even in a period of time that prolongs, namely with at least 1 week after the water reconstruct for example, preferably at least 2 weeks, for example in 4 weeks, preferably for example during whole treatment, keep its palatability.
By according to the known method of using HPLC European Pharmacopoea the 3rd edition for example, 1997 and Supplement 2000 described in method measure the active substance that at room temperature is dissolved in the suspension for example the amount of clarithromycin can indirectly measure the degree of the palatability of suspension.The bitterness positive correlation of the amount of the active substance of described dissolving and suspension, this can be for example by finding out among the WO 93/12771.Perhaps, can judge palatability by trained local flavor professional, for example described in the above-mentioned patent application.
Bound by theory not, the significant improvement of the taste that inventor's phase credit suspension of the present invention is observed is owing to the high Osmolality that is enclosed in the circumgranular liquid medium of suspendible causes, as if it causes active substance to reduce to the diffusion in the mixture of suspendible substrate and suspension medium, namely causes the seepage of active substance to reduce and/or disappearance.
The inventor it has surprisingly been found that from coated granule be omit the suspension of enteric coating granule some conventional additives as acidity and/or alkalinity additive can greatly improve comprise as described in the taste of suspension of granule, this may be because diffusion reduces cause.
High-caliber Osmolality in the suspension has been avoided regulating necessity of suspension pH value by adding acid, alkali and/or acid or basic salt (type that depends on used function coating), thereby has prevented the dissolving of taste masking coating.Although coating is actually soluble this fact under the pH value of suspension, it does not dissolve; Also bound by theory not it is believed that this is owing to not existing this fact of available ion to cause for the necessary salt formation process of dissociating.Therefore, above-described pharmaceutical composition of the present invention also can be substantially devoid of acidity or alkalinity additive, such as organic acid, and citric acid for example.Compare with the conventional composition that comprises described additive, do not exist acidity or alkalinity additive to provide much better condition for successful perfumery in the pharmaceutical composition of the present invention.
Preferably, suspension of the present invention shows Fast Stripping under 6.8 pH value, this means 22 S2 by US Pharmacopoea USP 27-NF, and 2004 dissolution test is measured, 80% active substance dissolving in 15 minutes.This means that active substance is released with enough amounts with acceptable speed in gastrointestinal tract, this generally represents good bioavailability.
Following table 2 has provided and can how to have come regulating weight Morie osmolarity (as mentioned above calculated weight Morie osmolarity) by the mixture with above-mentioned different osmo active substances:
Table 2:
| Na 3PO 4 | 3 | |||||||
| Na 2SO 4 | 3 | |||||||
| NaCl | 6 | 5 | ||||||
| Water | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 |
| Osmolality [mosmol] | 2921 | 2775 | 2457 | 2403 | 2053 | 2397 | 2011 | 4486 |
| Concentration * [w/w%] | 50％ | 33％ | 23％ | 35％ | 6％ | 25％ | 22％ | 50％ |
| Concentration * * [w/w%] | 100％ | 50％ | 30％ | 55％ | 6％ | 33％ | 28％ | 100％ |
* with respect to the concentration * * of the solution concentration with respect to suspension medium
Pharmaceutical composition useful as drug of the present invention.
On the one hand, pharmaceutical composition of the present invention can be used for preparing the medicine that treats and/or prevents infectious disease.
On the other hand, the invention provides and in people or non-human mammal, treat and/or prevent infectious disease, especially microbial diseases, such as the method for bacterial disease and chlamydia disease and its some complication, it comprise to needs its people or the effective nontoxic amount of non-human mammal administering therapeutic be included in active substance in the pharmaceutical composition of the present invention.Described active substance is Macrolide preferably, most preferably is clarithromycin.Term used herein " treatment effectively " is understood to include the amount of the described active substance of the therapeutic effect that hope is provided.
In the treating and/or preventing of infectious disease and its some complication, suspension of the present invention can comprise with the dosage range that is generally used for preventing and/or treating infectious disease the active substance as herein described of pharmacy effective dose, preferred clarithromycin.
Suspension of the present invention is particularly suitable for having the patient of dysphagia, such as child and gerontal patient.
The present invention also provides a kind of cover medicated bag (kit of parts), and it comprises
-component a), it comprises coated granule, described coated granule comprises at least a pharmaceutically active substances with taste beastly and/or bitterness, and randomly comprises at least a excipient, and
-components b), it comprises suspendible substrate, and described suspendible substrate comprises at least a osmo active substance that high Osmolality can be provided for the mixture of the aqueous suspension medium in described suspendible substrate and the instant suspension, and randomly
-amount of component b), it comprises at least a pharmaceutically acceptable excipient,
Be used for respectively, in succession or simultaneously use.Described cover medicated bag can also comprise component d), it is aqueous suspension medium, for example water.Component a), b), c) and d) can be packaged in the single container or be packaged in 2 or the more independently container.In the time of in being stored in independently container, can with component a), b), c) and d) before using, mix.
Provide following examples with further elaboration the present invention, but do not limit the present invention.
Embodiment:
Spraying cohesion preparation coated granule by clarithromycin and poloxamer.The mean particle size that is used for coating is 200 to 400 μ m.In fluidized system, apply coating by aqueous dispersion.The composition of granule sees Table 1:
Table 1
| Composition | Amount, the g of unit |
| Clarithromycin | 0.260 |
| Poloxamer | 0.096 |
| Eudragit L30D55 | 0.212 |
| Triethyl citrate | 0.032 |
Be prepared as follows the suspension of embodiment 1-6:
To mix from composition listed in the coated granule of table 1 and following table 3 or the table 4, form and be dry mixed outstanding mixture, the water by amount shown in adding is with its suspendible subsequently.
Measure the active substance part that is dissolved in the aqueous suspension with HPLC at different time.The amount of the part of described dissolving is relevant with the bitterness of experiencing after the patient takes in described suspension.
Embodiment group A:
The composition of the suspension of embodiment 1-4 is seen following table 3:
Table 3
Embodiment
1 2 3 4
Numerical value is the amount take g as unit
* used spice is can be with 204264 H﹠amp; The mixed fruit powdered flavour that the R form is commercially available
* citric acid is dissolved in the water and add with progressively reach required shown in pH value
Measure by measuring the amount of the clarithromycin of dissolving at room temperature the granule of osmotic pressure condition his-and-hers watches 1 enteric coating, be the impact of taste masking coating.This is measuring of described coating robustness, and is measuring of suspension bitterness indirectly.The results are shown in Figure 1, it shows and compares every 5ml suspension without the suspension of sucrose and exist 2.4g sucrose to greatly reduce the seepage of clarithromycin from coated granule.The clarithromycin of dissolving is fewer to mean that the bitterness of suspension is less, means that namely described suspension is agreeable to the taste.
Surprisingly, independent acid ph value-it is generally acknowledged that it prevents that enteric coating from dissolve-can not prevent that clarithromycin from leaking in the suspension.Yet regardless of the pH value in the scope shown in Fig. 1, exist (the seeing embodiment 1) of high Osmolality all is enough to prevent the seepage of clarithromycin.
Embodiment group B:
The composition of the suspension of embodiment 5-7 is seen following table 4:
Table 4:
Embodiment
5 6 7
| Composition | |||
| (table 1) coated granule | 0.600 | 0.600 | 0.600 |
| Cane sugar powder (Ph.Eur.) | 2.400 | ||
| Fructose | 1.200 | ||
| Glucose | 1.200 | ||
| Water for the preparation of suspension | 2.714 | 2.714 | 2.714 |
| MOsmol (value of calculation) | ＜5 | 2583 | 4868 |
Numerical value is the amount take g as unit
Also measure by measuring the amount of the clarithromycin of dissolving at room temperature the granule of osmotic pressure condition his-and-hers watches 1 enteric coating, be the impact of taste masking coating; The results are shown in Figure 2, it shows that the mixture that adds sucrose or glucose and fructose can prevent clarithromycin seepage from coated granule.It is believed that this is that described Osmolality is more than every premium on currency 2500mosmol because corresponding suspension, the high Osmolality of the mixture of suspendible substrate and water causes more specifically.
Claims (24)
1. be suitable for preparing the Orally administered pharmaceutical composition that is used for of instant suspension, it comprises
A) coated granule, it comprises at least a pharmaceutically active substances with taste beastly, and randomly comprises at least a excipient, and
B) suspendible substrate, it comprises at least a osmo active substance, and wherein the amount of osmo active substance is enough to provide high Osmolality for the mixture of the aqueous suspension medium in described suspendible substrate and the instant suspension, and
C) randomly, at least a pharmaceutically acceptable excipient,
Wherein said high Osmolality is every kilogram of suspension medium 2000mosmol to 3800mosmol,
And wherein said pharmaceutically active substances is macrolide antibiotics, and described osmo active substance is selected from sucrose, Sorbitol, xylitol, erythritol, maltodextrin, cyclodextrin, potassium phosphate, sodium phosphate, sodium sulfate and sodium chloride and their mixture.
2. pharmaceutical composition according to claim 1, wherein taste beastly is bitterness.
3. pharmaceutical composition according to claim 1, wherein coated granule is by taste masking.
4. the described pharmaceutical composition of any one in 3 according to claim 1, wherein said high Osmolality is not less than every kilogram of suspension medium 2500mosmol.
5. the described pharmaceutical composition of any one in 3 according to claim 1, it is dry powder form.
6. the pharmaceutical composition of the instant suspension form that in the aqueous suspension medium, prepares by the medicinal-composition suspension with any one in the claims 1 to 3.
7. according to claim 6 pharmaceutical composition, wherein the aqueous suspension medium is water.
8. the described pharmaceutical composition of any one in 3 according to claim 1, wherein the amount of osmo active substance is to 100%w/w with respect to suspension medium 6%.
9. pharmaceutical composition according to claim 8, wherein the amount of osmo active substance is to 95%w/w with respect to suspension medium 85%.
10. pharmaceutical composition according to claim 9, wherein the amount of osmo active substance is with respect to suspension medium 89%w/w.
11. the described pharmaceutical composition of any one in 3 according to claim 1, the coating of wherein said coated granule is the function coating.
12. pharmaceutical composition according to claim 11, wherein said function coating is enteric coating.
13. the described pharmaceutical composition of any one in 3 according to claim 1, wherein said instant suspension is agreeable to the taste.
14. pharmaceutical composition according to claim 13, wherein the instant suspension keeps its palatability at least 2 weeks.
15. the described pharmaceutical composition of any one in 3 according to claim 1, wherein macrolide antibiotics is clarithromycin.
16. the described pharmaceutical composition of any one in 3 according to claim 1, it does not contain acidity and/or alkalinity additive.
17. prepare the method for the defined pharmaceutical composition of any one in the claims 1 to 3, it may further comprise the steps:
A) with described coated granule and the described suspendible substrate of at least a osmo active substance that is selected from sucrose, Sorbitol, xylitol, erythritol, maltodextrin, cyclodextrin, potassium phosphate, sodium phosphate, sodium sulfate and sodium chloride and their mixture and at least a pharmaceutically acceptable mixed with excipients randomly of comprising, acquisition is dry mixed outstanding mixture, wherein the amount of osmo active substance is enough to provide high Osmolality for the mixture of the aqueous suspension medium in described suspendible substrate and the instant suspension, and
B) the suspendible mixture that randomly step is obtained in a) is packed in the container,
Wherein said high Osmolality is every kilogram of suspension medium 2000mosmol to 3800mosmol.
18. prepare the method for the defined pharmaceutical composition of any one in the claims 1 to 3, it may further comprise the steps:
A) with described coated granule and the described suspendible substrate of at least a osmo active substance that is selected from sucrose, Sorbitol, xylitol, erythritol, maltodextrin, cyclodextrin, potassium phosphate, sodium phosphate, sodium sulfate and sodium chloride and their mixture and at least a pharmaceutically acceptable mixed with excipients randomly of comprising, acquisition is dry mixed outstanding mixture, wherein the amount of osmo active substance is enough to provide high Osmolality for the mixture of the aqueous suspension medium in described suspendible substrate and the instant suspension, and
B) add entry in the outstanding mixture forming the instant suspension to being dry mixed of obtaining in a) of step, and
C) randomly the instant suspension is packed in the container,
Wherein said high Osmolality is every kilogram of suspension medium 2000mosmol to 3800mosmol
19. according to claim 17 or 18 described methods, wherein pharmaceutically active substances is clarithromycin.
20. according to claim 1 in 3 the described pharmaceutical composition of any one for the preparation of the purposes of the medicine that comprises macrolide antibiotics.
21. purposes according to claim 20, wherein said medicine is used for the treatment of and/or prophylaxis against infection diseases.
22. the purposes of claim 21, wherein said medicine are used for the treatment of and/or prevent infectious disease in people or the non-human mammal.
23. purposes according to claim 22, wherein said people mammal is child or gerontal patient.
24. the cover medicated bag, it comprises the defined component of claim 1 a) and components b) and amount of component b randomly), be used for respectively, in succession or simultaneously use.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB0422645A GB2419094A (en) | 2004-10-12 | 2004-10-12 | Pharmaceutical composition of unpleasnt tasing active substances |
| GB0422645.2 | 2004-10-12 | ||
| PCT/EP2005/010890 WO2006040112A2 (en) | 2004-10-12 | 2005-10-10 | Taste-masking pharmaceutical compositions |
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| Publication Number | Publication Date |
|---|---|
| CN101083977A CN101083977A (en) | 2007-12-05 |
| CN101083977B true CN101083977B (en) | 2013-03-06 |
Family
ID=33443791
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|---|---|---|---|
| CN2005800338356A Expired - Fee Related CN101083977B (en) | 2004-10-12 | 2005-10-10 | Taste-masking pharmaceutical compositions |
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|---|---|
| US (1) | US7767231B2 (en) |
| EP (1) | EP1802275B1 (en) |
| JP (1) | JP5134961B2 (en) |
| CN (1) | CN101083977B (en) |
| AR (1) | AR053977A1 (en) |
| AU (1) | AU2005293800B2 (en) |
| BR (1) | BRPI0517413A (en) |
| CA (1) | CA2581493C (en) |
| ES (1) | ES2514468T3 (en) |
| GB (1) | GB2419094A (en) |
| RU (1) | RU2399370C2 (en) |
| SI (1) | SI1802275T1 (en) |
| WO (1) | WO2006040112A2 (en) |
| ZA (1) | ZA200702418B (en) |
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| JP5132090B2 (en) * | 2006-06-16 | 2013-01-30 | 東和薬品株式会社 | Epinastine hydrochloride dry syrup |
| EP2313083A1 (en) * | 2008-07-22 | 2011-04-27 | Lupin Limited | Oral compositions of clindamycin |
| US9504274B2 (en) * | 2009-01-27 | 2016-11-29 | Frito-Lay North America, Inc. | Methods of flavor encapsulation and matrix-assisted concentration of aqueous foods and products produced therefrom |
| EA031116B1 (en) * | 2009-04-03 | 2018-11-30 | Ф. Хоффманн-Ля Рош Аг | PROPANE-1-SULFONIC ACID {3-[5-(4-CHLORO-PHENYL)-1H-PYRROLO[2,3-b]PYRIDINE-3-CARBONYL]-2,4-DIFLUORO-PHENYL}AMIDE CRYSTALLINE POLYMORPH FORMS |
| CN101879141B (en) * | 2009-05-05 | 2013-07-17 | 烟台绿叶动物保健品有限公司 | Taste-masking tilmicosin gastric-soluble particle preparation |
| US20180104197A9 (en) | 2014-05-01 | 2018-04-19 | Sun Pharmaceutical Industries Limited | Extended release liquid compositions of metformin |
| US10258583B2 (en) | 2014-05-01 | 2019-04-16 | Sun Pharmaceutical Industries Limited | Extended release liquid compositions of guanfacine |
| US20160317388A1 (en) * | 2014-05-01 | 2016-11-03 | Sun Pharmaceutical Industries Limited | Dual-chamber pack for extended release suspension compositions |
| CA2947528C (en) | 2014-05-01 | 2023-09-05 | Sun Pharmaceutical Industries Limited | Extended release suspension compositions |
| US9962336B2 (en) * | 2014-05-01 | 2018-05-08 | Sun Pharmaceutical Industries Limited | Extended release suspension compositions |
| RU2017106010A (en) | 2014-07-30 | 2018-08-28 | Сан Фармасьютикал Индастриз Лимитед | TWO CHAMBER PACKAGING |
| US10369078B2 (en) | 2016-05-02 | 2019-08-06 | Sun Pharmaceutical Industries Limited | Dual-chamber pack for pharmaceutical compositions |
| US10238803B2 (en) | 2016-05-02 | 2019-03-26 | Sun Pharmaceutical Industries Limited | Drug delivery device for pharmaceutical compositions |
| MX2020006905A (en) * | 2018-01-03 | 2020-09-09 | Ferring Bv | Oral liquid pharmaceutical compositions of aminosalicylates. |
| WO2020180690A1 (en) * | 2019-03-01 | 2020-09-10 | Avadel Legacy Pharmaceuticals, Llc | Liquid pharmaceutical compositions with stable drug release profiles |
| CN115634203A (en) * | 2022-10-28 | 2023-01-24 | 南京海纳医药科技股份有限公司 | Dry suspension containing ebastine and preparation method thereof |
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| US4853229A (en) * | 1987-10-26 | 1989-08-01 | Alza Corporation | Method for adminstering tiny pills |
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| US4994260A (en) | 1982-05-28 | 1991-02-19 | Astra Lakemedel Aktiebolag | Pharmaceutical mixture |
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| US4808411A (en) | 1987-06-05 | 1989-02-28 | Abbott Laboratories | Antibiotic-polymer compositions |
| IT1246383B (en) | 1990-04-17 | 1994-11-18 | Eurand Int | METHOD FOR MASKING THE TASTE OF DRUGS |
| IL104093A (en) | 1991-12-31 | 1999-06-20 | Abbott Lab | Prolamine coatings for taste-masking orally administrable medicaments |
| US5599556A (en) | 1991-12-31 | 1997-02-04 | Abbott Laboratories | Prolamine coatings for taste masking |
| JPH05255073A (en) * | 1992-03-12 | 1993-10-05 | Taisho Pharmaceut Co Ltd | Peroral agent and its preparation |
| CA2143439A1 (en) * | 1992-09-03 | 1994-03-17 | Seang H. Yiv | Taste-masking pharmaceutical compostiions and methods for making the same |
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| DE10347994A1 (en) * | 2003-10-15 | 2005-06-16 | Pari GmbH Spezialisten für effektive Inhalation | Aqueous aerosol preparation |
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- 2005-10-10 SI SI200531896T patent/SI1802275T1/en unknown
- 2005-10-10 ES ES05796850.5T patent/ES2514468T3/en active Active
- 2005-10-10 CN CN2005800338356A patent/CN101083977B/en not_active Expired - Fee Related
- 2005-10-10 JP JP2007536065A patent/JP5134961B2/en not_active Expired - Fee Related
- 2005-10-10 AU AU2005293800A patent/AU2005293800B2/en not_active Ceased
- 2005-10-10 EP EP05796850.5A patent/EP1802275B1/en active Active
- 2005-10-10 WO PCT/EP2005/010890 patent/WO2006040112A2/en active Application Filing
- 2005-10-10 RU RU2007117499/15A patent/RU2399370C2/en active
- 2005-10-10 BR BRPI0517413-9A patent/BRPI0517413A/en not_active IP Right Cessation
- 2005-10-10 US US11/576,890 patent/US7767231B2/en not_active Expired - Fee Related
- 2005-10-11 AR ARP050104258A patent/AR053977A1/en unknown
-
2007
- 2007-03-23 ZA ZA200702418A patent/ZA200702418B/en unknown
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| US4853229A (en) * | 1987-10-26 | 1989-08-01 | Alza Corporation | Method for adminstering tiny pills |
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| 说明书第10栏第20-40行. |
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Also Published As
| Publication number | Publication date |
|---|---|
| EP1802275B1 (en) | 2014-07-23 |
| US20080008765A1 (en) | 2008-01-10 |
| AU2005293800B2 (en) | 2009-03-26 |
| WO2006040112A3 (en) | 2007-04-26 |
| CA2581493A1 (en) | 2006-04-20 |
| CA2581493C (en) | 2013-02-19 |
| JP5134961B2 (en) | 2013-01-30 |
| GB0422645D0 (en) | 2004-11-10 |
| ZA200702418B (en) | 2009-04-29 |
| WO2006040112A2 (en) | 2006-04-20 |
| RU2399370C2 (en) | 2010-09-20 |
| GB2419094A (en) | 2006-04-19 |
| RU2007117499A (en) | 2008-11-20 |
| BRPI0517413A (en) | 2008-10-07 |
| EP1802275A2 (en) | 2007-07-04 |
| AU2005293800A1 (en) | 2006-04-20 |
| US7767231B2 (en) | 2010-08-03 |
| JP2008515946A (en) | 2008-05-15 |
| SI1802275T1 (en) | 2014-11-28 |
| CN101083977A (en) | 2007-12-05 |
| AR053977A1 (en) | 2007-05-30 |
| ES2514468T3 (en) | 2014-10-28 |
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